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Providence Health & Services Supervisor, Specialty Billing and Follow Up PSJH in Renton, Washington

Description:

Providence St. Joseph Health is calling a Supervisor, Specialty Billing and Follow Up PSJH to our location in Renton, WA.

We are seeking a Supervisor, Specialty Billing and Follow Up PSJH who will have direct operational accountability for billing and follow up for multiple specialty service lines of business, including all payers, across all Providence acute ministries, including critical access hospitals, rural health clinics, provider based clinics and hospital based profee billing. Specialty service lines include but are not limited to Clients, Third Party Liability, Behavioral Health, Research, and Global/Bundle arrangements. This role assists in developing and executing a strategic plan to accomplish the goals for the specialty service lines of business, in partnership with the leaders of Providence RCS Services.

This position is accountable for supervising team providing leadership to ensure a highly sustainably engaged team is in place, with ongoing review of productivity and staffing needs, coaching and guidance, ensuring daily huddles are in place for team collaboration and achievement of work goals, ensuring 1:1's occur to support team members and provide coaching and development as needed, ensuring regular all hands meetings occur for transparent and consistent communication. Ensure talent is identified, hired, and trained and that the new hire and onboarding process is completed in a way that fosters success and caregiver experience. Ensure performance goals are set and monitored and regular communication about performance and development occurs.

Partners with the leadership on Revenue Cycle process improvement, training, technology innovation, analytics, compliance and vendor management. The Supervisor, Specialty Billing and Follow Up will continually review the current state and work with the AVP, Billing and Follow Up, Director, Specialty Billing and Follow Up and other Providence Revenue Cycle leaders to move the organization to leading practices. The Supervisor, Specialty WC TPL AR will oversee to ensure policies and procedures are current and enforced, business practices are compliant, and a high level of patient and customer satisfaction is maintained across the region. Promotes an environment shaped by health, healing, hope, diversity, and mutual respect. Is self-directed and requires minimal supervision.

In this position you will have the following responsibilities:

  • Develop and maintain a well-trained and empowered staff to ensure timely and accurate account review and follow up, while achieving maximum reimbursement and recovery of AR. Develop a high performance team by coaching and mentoring staff, with an emphasis on responsibility and accountability. Recruit, select, orient and manage appropriate staff to ensure operational objectives are met.

  • Ensure staffing levels are adequate to meet business outcomes and goals, with ongoing review of productivity, ensuring daily huddles are in place for team collaboration and work goals, ensuring 1:1's occur to support team members and provide coaching and development.

  • Implement, analyze and report on key factor reports for tracking and managing the performance of the department.

  • Report proactively to the Manager, Specialty WC TPL AR on any area not meeting standards established in the key factor reports and recommend appropriate changes.

  • Lead and support plan to improve the revenue cycle and to continually improve registration accuracy, clean claims ratios, coding accuracy, reduce days in AR, increase cash collections, reduce bad debt, eliminate write-offs due to revenue process issues and improve customer and patient satisfaction. Recommends claims billing and follow up AR goals and objectives in performance, production, quality and compliance.

  • Provide shared operational leadership to all ministries in the organization related to acute lines of business. Provide shared leadership and supervision to the areas of oversight.

  • Partner with other Revenue Cycle leadership to lead the development and implementation of policies, procedures and workflows which impact net revenue cash flow or performance efficiency across the Revenue Cycle function that align with the strategic direction and standardization for all of PSJH.

  • Partner with system wide Revenue Cycle leadership to develop process improvement opportunities, training, technology innovation, analytics, compliance and vendor management to meet acute Revenue Cycle needs. Manage and oversee the development of technology solutions to improve efficiencies and reduce the delays in workflow processes.

  • Collaborate with other PHS ministries and provides leadership in communicating consistent information and data regarding performance.

  • Collaborate with PHS Contracting to understand contract specifics and provide PHS Contracting with data to support negotiations with payers and development of contracting strategies. Develop relationships and collaborate with leaders at the payer level to improve appeal turnaround and dispute resolution.

  • Develop and ensure that all activities of the Revenue Cycle are performed in accordance with state and federal regulations, mandated collection practices, all regulatory agencies including JCAHO, and are HIPAA compliant.

  • Actively collaborates with the financial leaders across PHS to ensure the goals and strategic initiatives are aligned and whenever feasible, operational procedures are standardized. Responsible to achieve annual performance goals as established by the Chief Revenue Cycle Officer for PHS.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree in Business, Healthcare Management, or related field or equivalent educ/experience

Preferred qualifications for this position include:

  • 4 years Related experience in Healthcare, revenue cycle or finance

  • 3 years Leadership experience

About the department you will serve.

One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

We offer a full comprehensive range of benefits — see our website for details —http://www.providenceiscalling.jobs/rewards-benefits

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Non-Clinical Lead/Supervisor/Manager

Location: Washington-Renton

Req ID: 329332

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